Live Observational Objective Assessment of Operative Performance in a Cadaveric Model is Equivalent to Delayed Video-Based Assessment.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Richard L AngeloAnthony G Gallagher

Abstract

The purpose of our study was to compare real-time, live observational scoring with delayed retrospective video review of operative performance and to determine whether the evaluation method affected the attainment of proficiency benchmarks. Sixteen arthroscopy/sports medicine fellows and 2 senior residents completed training to perform arthroscopic Bankart repairs (ABRs) and arthroscopic rotator cuff repairs (ARCRs) using a proficiency-based progression curriculum. Each final operative performance for 15 randomly selected ABRs and 13 ARCRs performed on cadavers were scored live (observation during the operative performance) and on delayed video review (6-8 weeks) by 1 of 15 trained raters using validated metric-based (step and error) assessment tools. The inter-rater reliability (IRR) of live versus video review by a single rater was calculated, and changes to the trainee's attainment of the proficiency benchmarks were noted. The correlation coefficient (r) and the R2 were also calculated for the paired scores from the randomly selected performances. No significant differences in the observed IRR agreement or the attainment of the proficiency benchmarks were found when comparing live to video assessment for either ABR or ARCR. ...Continue Reading

References

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Jul 2, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Richard L AngeloAnthony G Gallagher
Aug 5, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Richard L AngeloAnthony G Gallagher
Aug 5, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Richard L AngeloAnthony G Gallagher
Aug 25, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robert A PedowitzAnthony G Gallagher
Sep 6, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Richard L AngeloAnthony G Gallagher
May 8, 2018·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Anthony G GallagherRichard L Angelo
Dec 23, 2019·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Richard L AngeloAnthony G Gallagher
Dec 29, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Richard L AngeloUNKNOWN Shoulder PBP Instructional Faculty

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